降低手術室護理師尖銳器械清洗扎傷之改善專案

目的：醫療尖銳物扎傷是手術室護理師常見的職業傷害。強化手術室護理師對「尖銳器械清洗處理的認知與技能」，預防尖銳物品扎傷，降低職業傷害風險、維護工作安全，以達到提昇手術室護理品質之目標。方法：本單位2019年7-9月共發生3件器械清洗扎傷事件，分析原因為器械管理程序書規範不完整、人員不清楚器械清洗流程、未制定稽核、缺乏器械清洗教育訓練、缺乏防扎設備及量測工具和器械不足。為了降低手術室護理師尖銳器械清洗扎傷件數，強化尖銳器械清洗認知與技能，透過修訂管理程序書、增設器械清洗安全設備、規劃擬真實務教育、以All in one概念整合通用器械包盤、制定查核機制及創意設計「一點、二穿、三分、四噴、五洗、六瀝、七乾」七口訣與「明尖能檔、暗刺能防、七指相護、永保安康」小叮嚀，增強正確操作行為記憶。結果：經介入改善措施後，手術室護理師執行器械清洗正確率由51％提升至93%、手術室護理師尖銳性器械清洗扎傷為0件。結論：強化職場安全確實有助於安全的行為，能有效降低手術室護理師尖銳器械清洗扎傷，並營造磁吸優質的幸福職場，使手術室護理師職涯安全獲得重視，也因此更提升手術室護理品質。

關鍵字

手術室；尖銳器械清洗；職場安全

並列摘要

Objectives: Stabbed by a sharp object is a common occupational injury to nurses in the operating room. Strengthen the knowledge and skill of cleaning sharp instrument is able to prevent OR nurses injured by sharp instrument, this project is target to decline their risk of occupational injury, meanwhile promote their work safety, this is one of the major index to show the quality of operating room is improved. Method: There were in total 3 staffs of our unit, which were injured by sharp instrument while cleaning during the period of July to September 2019, we analyzed the reason and found out it was due to incomplete procedure manual, workers not thoroughly knowing the stander operating procedure of cleaning surgical instrument, unformulated inspect, lack of instrument cleaning education and training, not owning both anti-pinching equipment and cleaning-enzyme measuring tools and shortage of surgical devise. In order to achieve the purpose of reducing the number of injured by cleaning sharp instrument, we must strengthen their knowledge and skill of cleaning sharp instrument. This requires revising the procedure manual, purchasing safe instrument washing devise, planning medical simulation, laying down proper examine protocol and our creative 7-steps formula, to let the staffs keep the steps in mind, and clean the surgical devise more correctly. Results: After execute the above-mentioned measures, the rate of OR nurse clean the instrument correctly has inclined from 51% up to 93%, the number of sharp instrument cleaning injured incident maintain zero. Conclusion: Strengthen the knowledge of workplace safety, is indeed helpful for safe working behavior, not only effectively reduce the chance of operating room nurse getting hurt by sharp instrument while cleaning, but also create a fine working environment. This shows operating room nurses, career safety was valued, meanwhile operating room's nursing quality was elevated.

並列關鍵字

Operating Room Nurses ； Sharp instrument cleaning ； Workplace safety

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